The James & Theresa Nolan Family Foundation Scholarship 2012 Application

Complete out all items accurately and clearly; missing or incorrect items will delay processing of the application. Print in ink or type. Return all forms to: Mr. David Sherrod Chairman SPC Community Outreach Committee 339 Hwy. 17 N Millen, GA (Postmarked No Later than July 1, 2012)

Legal Name Social Security Sex Date of Birth Home Address Residence

______________________________________________________
Last First Middle

_______-________-________
Female Male

______________________________________________________
Number and Street

______________________________________________________
Country of Citizenship

______________________________________________________
Permanent resident alien number (if not a U.S. Citizen)

______________________________________________________
State in which you claim residence

______________________________________________________
Country

______________________________________________________
Address at which you have resided for past 12 months

The James & Theresa Nolan Family Foundation Scholarship 2012 Application
SPECIAL NOTE FOR CURRENTLY ENROLLED COLLEGE STUDENTS If you are a sophomore, junior, senior or working on your masters or doctorate it is not necessary to complete the information in the area relating to the high school you attended. We will need your college transcripts from the last quarter or semester and proof of enrollment for the upcoming quarter or semester. Please complete the following information: College or University Name:____________________________________________

Address:______________________________________________________________ Please tell us what year of study you are entering:__________________________ What is your major:____________________________________________________ Scholarship payments will be paid directly to the college or university of enrollment. How the check should be written: (for example) Office of the Bursar, etc. please include address.) ____________________________________________________________________ ____________________________________________________________________ If employed please list your employer, employers address and the average number of hours worked for the past six months.
________________________________________________________________________________________________

2012 Scholarship Winner will be announced by August 15, 2012.

The James & Theresa Nolan Family Foundation Scholarship 2012 Application
Parents or Guardians ______________________________________________________
Full Names

______________________________________________________
Number and Street Address

______________________________________________________
City State Zip

Signature

I certify that the information provided on this application is accurate and true. I understand that falsified information may result in denial of SPC Scholarship.

I waive

I do not waive my right to review my high school counselors comments.

To Be Completed By High School Guidance Counselor High School CEEB Code

All applicants must have this section completed by the High School guidance counselor.

Six semesters

Rank in Class

________________ / _____________ after

Seven semesters Eight semesters

School does not rank students. Grade Point Average

_______________ / __________________
G.P.A. Scale

A 2.5 minimum G.P.A. is required to apply for The James & Theresa Nolan Family Foundation Scholarship.

The James & Theresa Nolan Family Foundation Scholarship 2012 Application
Test Scores
SAT: Date Date PSAT: ACT: Date Date P-ACT: Date Date V V V E E E M M M M M M R R R ACH: Subject Subject Subject SR SR SR Score Score Score C C C

Comments

Information relevant to an admissions decision is requested.

______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ Signature ______________________________________________________ Signature of counselor / Printed name Date
IMPORTANT: Include an official transcript of high school work through at least the junior year.

( _________ ) _________-_____________
High School telephone

Narrative Evaluation: We appreciate the difficulty of evaluating a student only on the basis of ranking on a
grid. Please use this space for narrative evaluation. We are especially interested in information which will help us to understand those intangible qualities which so often contribute to academic and professional excellence. If you prefer, feel free to attach a letter to this form.

The James & Theresa Nolan Family Foundation Scholarship 2012 Application
High School
Indicate High School graduation date. Month Indicate High School from which you did or will graduate. Year

________________________________________ Name ________________________________________ Number and Street

SAT/ACT

Indicate high school from which you did or will graduate.

________________________________________ SAT date(s) ________________________________________ ACT date(s)

List of High School Extra Curricular Activities Higher Education

________________________________________________ ________________________________________________
List all colleges, universities, or technical schools attended or currently attending.

INSTITUTION

DATES OF CITY & STATE

CURRENTLY ATTENDANCE

ATTENDING YES YES YES NO NO NO

GPA

Institution which accepted you.

Attach letter of acceptance.

________________________________________________________________

The James & Theresa Nolan Family Foundation Scholarship 2012 Application

Please list two references (non family). Name: _____________________________________________________________ Address: ___________________________________________________________ Phone: _____________________________________________________________ Email : ______________________________________________________________

Name: _____________________________________________________________ Address: ___________________________________________________________ Phone: _____________________________________________________________ Email : _____________________________________________________________

The James & Theresa Nolan Family Foundation Scholarship 2012 Application

SPC AFFILIATION
Your SPC Number Fathers SPC Number Mothers SPC Number Date joined SPC Date joined SPC Date joined SPC Your company name His company name Her company name

Identify other relative with SPC affiliation. Relationship: Their SPC Number Date joined SPC Their company name

Brief description of applicants (or familys) involvement with SPC:

The James & Theresa Nolan Family Foundation Scholarship is open to all SPC members in good standing. Members applying for this scholarship must have been a member of the Southeast Produce Council for at least six months preceding the date of application.

The James & Theresa Nolan Family Foundation Scholarship 2012 Application
ESSAY
Please submit a minimum 500 1000 word essay on the importance of ethics, describing a situation where doing the right thing was difficult but you did so in spite of the cost. Please include your thoughts on ethical lessons learned from your experience, and how these lessons can be applied to corporate America. The James & Theresa Nolan Family Foundation maintain the right to publish winning essays.

The James & Theresa Nolan Family Foundation Scholarship 2012 Application

Recommendation for Southeast Produce Scholarship

TO THE APPLICANT: Please complete the top section of this form.
(Type or Print)

Full Legal Name Present Address

Last

First

Middle

Number and Street

City

State

Zip Code

Country

Under the Federal Family Educational Rights and Privacy Act of 1974, students are entitled to review their records, including letters of recommendation. It is your option to waive your right to review these recommendations or to decline to do so. Please mark the appropriate box below and sign your name.
I waive my right to review this recommendation. I do not waive my right to review this recommendation.

Applicant Signature

Date

This recommendation should be sent to: Mr. David Sherrod Chairman SPC Community Outreach Committee 339 Hwy. 17 N Millen, GA 30442 POSTMARKED NO LATER THAN July1, 2012
TO THE PERSON PROVIDING THE RECOMMENDATION:
Please complete this section and mail the form to the address shown above. I have known the applicant for __________years in my capacity as _____________________________________________________________. 1. Please rate the applicant on each characteristic in comparison with other students at the same level by circling the appropriate number. No Basis for Judgement Weak A. B. C. D. E. F. G. H. I. J. K. Motivation Intellectual Ability Breadth of General Knowledge Understanding of Major Field Ability to Analyze Ideas Ethical Standards and Integrity Oral English Expression Skills Written English Expression Skills Potential Success Promise in Scholarship/Creative Endeavor Overall, I expect the applicants work to be: 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 Below Average 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 Above Average 5 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 6 Average 7 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 8 8 8 8 8 8 Exceptional 9 9 9 9 9 9 9 9 9 9 9 10 10 10 10 10 10 10 10 10 10 10

2.

On a separate page that you attach to this form, please provide your candid assessment of the applicants strengths and weaknesses. In your opinion, does the applicant possess the intellectual and personal qualifications necessary for success?

Respondents Signature Type or Print Name Institution or Affiliation

Date Title or Position Address

Telephone Number